CPT 37247 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Cardiovascular System |
| Common Place of Service | • 11 - Office • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • XU - Unusual Non-Overlapping Service • LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 37247 |
National average reimbursement for CPT 37247 by major payers:
$834.04
$1,066.33
$955.83
$1,074.36
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 37247 | ||||||
United | 37247 | $566.00 | 1538461348 - THE OUTPATIENT CENTER, LLC, THE OUTPATIENT CENTER OF BOYNTON BEACH, LTD. D/B/A THE OUTPATIENT CENT | 650440864 - (FL) THE OUTPATIENT CENTER OF BOYNTON BEACH, LTD. | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $100.00 | 1023123296 - ASSOCIATES SURGERY CENTERS, LLC | 510492139 - (PA) ASSOCIATES SURGERY CENTERS LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $1384.31 | 1295713857 - ARTHUR BENTSEN | 350593390 - DEACONESS HOSPITAL INC | IN | Pulmonary Disease Physician (207RP1001X) |
United | 37247 | $201.00 | 1154945921 - MONTANA ENDOSCOPY CENTER, PLLC | 843703860 - (MT) MONTANA ENDOSCOPY CENTER PLLC | MT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $62.00 | 1770581829 - PHYSICIANS' SURGERY CENTER, LLC | 481217506 - (KS) PHYSICIANS SURGERY CENTER, L.L.C. | KS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $520.00 | 1780218115 - SURGERY CENTER OF FORT WAYNE | 825163478 - (IN) SURGERY CENTER OF FORT WAYNE LLC | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $636.03 | 1245243187 - TRACY KANIA | 350593390 - DEACONESS HOSPITAL INC | KY | Certified Registered Nurse Anesthetist (367500000X) |
United | 37247 | $191.00 | 1144970112 - SONORAN ENDOSCOPY CENTER LLC | 852760027 - (AZ) SONORAN ENDOSCOPY CENTER LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $117.00 | 1538787361 - EYE SURGERY CENTER OF MORRISTOWN, LLC | 833601814 - (TN) EYE SURGERY CENTER OF MORRISTOWN LLC | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $168.00 | 1922526961 - BLAINE ASC, LLC, BLAINE ORTHOPEDIC SURGERY CENTER | 822416401 - (MN) BLAINE ASC LLC | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $566.00 | 1659748184 - SURGCENTER OF THE POTOMAC, LLC | 472311914 - (MD) SURGCENTER OF THE POTOMAC, LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $480.00 | 1962903831 - CLIFTON PARK ASC LLC, ORTHONY SURGICAL SUITES | 814670264 - (NY) CLIFTON PARK ASC LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $506.00 | 1962788059 - SURGCENTER OF SILVER SPRING, LLC | 452950933 - (MD) SURGCENTER OF SILVER SPRING LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $126.00 | 1902431646 - CENTRAL OHIO ENDOSCOPY CENTER, LLC | 311674561 - (OH) CENTRAL OHIO ENDOSCOPY CENTER LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 37247 | $1384.31 | 1467042804 - MARIA KLOPFENSTEIN | 350593390 - DEACONESS HOSPITAL INC | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 37247 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37247 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 37247 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 37236-CPT | High | Transcatheter Placement Of An Intravascular Stent (S) (Except Lower Extremity Artery(S) For Occlusive Disease Cervial Carotid Extracranial Vertebral Or Intrathoracic Carotid Intracranial Or Coronary) Open Or Percutaneous Including Radiological Supervision And Interpretation And Including All Angioplasty Within The Same Vessel When Performed; Initial Artery (Desc Revised 01/01/15) |
| 37237-CPT | High | Transcatheter Placement Of An Intravascular Stent (S) (Except Lower Extremity Artery(S) For Occlusive Disease Cervial Carotid Extracranial Vertebral Or Intrathoracic Carotid Intracranial Or Coronary) Open Or Percutaneous Including Radiological Supervision And Interpretation And Including All Angioplasty Within The Same Vessel When Performed; Each Additional Artery (List Separately In Addition To Code For Primary Procedure) (Desc Revised 01/01/15) |
| 37246-CPT | High | Transluminal Balloon Angioplasty (Except Lower Extremity Artery(Ies) For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit) Open Or Percutaneous Including All Ima-Ging And Radiological Supervision And Interpreta- Tion Necessary To Perform The Angioplasty Within The Same Artery; Initial Artery |
| 37247-CPT | Moderate | Transluminal Balloon Angioplasty (Except Lower Extremity Artery(Ies) For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit) Open Or Percutaneous Including All Ima-Ging And Radiological Supervision And Interpreta- Tion Necessary To Perform The Angioplasty Within The Same Artery; Each Additional Artery (List Separately In Addition To Code For Primary Proce- Dure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37247. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37247 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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